Provider Demographics
NPI:1609764281
Name:ROBISON, TERA (PSYD)
Entity type:Individual
Prefix:DR
First Name:TERA
Middle Name:
Last Name:ROBISON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 AIRMOTIVE WAY STE 175Q
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3275
Mailing Address - Country:US
Mailing Address - Phone:775-254-9360
Mailing Address - Fax:
Practice Address - Street 1:1325 AIRMOTIVE WAY STE 175Q
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3275
Practice Address - Country:US
Practice Address - Phone:775-254-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY1248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical